Acetabular Revision Surgery with Impacted Bone Allografts and Cemented Cups in Patients Younger Than 55 Years

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2008 Feb 12

PMID 18264707

Citations 13

Authors

Fernando Comba

Martin Buttaro

Rodolfo Pusso

Francisco Piccaluga

Affiliations

Soon will be listed here.

Abstract

This article summarises a clinical and radiographical analysis of 30 acetabular revisions in patients younger than 55 years old, performed with impaction bone grafting and cemented cups. Preoperative Merle D'Aubigne and Postel functional score was an average 7 points. At a mean follow-up of 86.5 months (range 34-228) functional score averaged 16.3 points. Radiolucent lines with no clinical impact were observed in 7% of DeLee and Charnley acetabular zones evaluated. Massive radiological migration, consistent with clinical failure, was observed in two cups. Three patients underwent re-revision surgery (10%): two due to infection and one due to mechanical failure. Reconstruction survival rate was 89% (CI 95% 71.9-96.4) overall, and 96% (CI 95% 82.6-99.3) ruling out cases of infection. Impacted bone allograft constitutes one of the reconstructive techniques of choice in acetabular revision surgery of young patients. Restoration of bone stock is essential in this group of patients due to the possibility of future revisions.

Citing Articles

Both Acetabular and Femoral Reconstructions With Impaction Bone Grafting in Revision Total Hip Arthroplasty: Case Series and Literature Review.

Xiong L, Li H, Huang X, Jie S, Zhu W, Pan J Arthroplast Today. 2023; 24:101160.

PMID: 37927301 PMC: 10622835. DOI: 10.1016/j.artd.2023.101160.

Impaction bone grafting for contained acetabular defects in total hip arthroplasty.

Abu-Zeid M, Habib M, Marei S, Elbarbary A, Ebied A, Mesregah M J Orthop Surg Res. 2023; 18(1):671.

PMID: 37697375 PMC: 10494409. DOI: 10.1186/s13018-023-04154-0.

Uncemented Cups and Impaction Bone Grafting for Acetabular Bone Loss in Revision Hip Arthroplasty: A Review of Rationale, Indications, and Outcomes.

DApolito R, Zagra L Materials (Basel). 2022; 15(10).

PMID: 35629756 PMC: 9145197. DOI: 10.3390/ma15103728.

[Short- and mid-term effectiveness of impaction bone allograft with acetabular components in treatment of severe acetabular defects].

Chen L, Hong G, Lin T, Huang L, Zhang Q, He W Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020; 34(3):341-346.

PMID: 32174080 PMC: 8171646. DOI: 10.7507/1002-1892.201904153.

Outcome of revision hip arthroplasty in patients younger than 55 years: an analysis of 1,037 revisions in the Dutch Arthroplasty Register.

Kuijpers M, Hannink G, Van Steenbergen L, Schreurs B Acta Orthop. 2020; 91(2):165-170.

PMID: 31928096 PMC: 7144208. DOI: 10.1080/17453674.2019.1708655.

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